Organization Active NPI

Pahua Health Inc

  • Community Based Hospice Care Agency
  • Clarksville, TN
National Provider Identifier
1568299469
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PAHUA HEALTH INC
Doing business as
Interim Healthcare TN
Practice address
540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006
Phone
(615) 989-6753
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erica Pahua, RN, MSN, APRN
Title
Administrator
Phone
(818) 317-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006

Mailing address

540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006
Phone (615) 989-6753

Other names 1

  • Interim Healthcare TN Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2324828Interim Healthcare TN540 Heritage Pointe Dr Suite a, Clarksville, TN 37042Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of Montgomery County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

540 Heritage Pointe Dr
Ste A
Clarksville, TN 37042
Phone (615) 433-6417

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1568299469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HERITAGE POINTE DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421006",
            "telephone_number": "615-989-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HERITAGE POINTE DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421006",
            "telephone_number": "615-989-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHUA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "PAHUA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-317-3013",
        "authorized_official_credential": "RN, MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.